Provalenko, Bridget Lea
Provalenko, Bridget Lea is an individual health care provider with primary practice located at 805 W Orchard Dr Ste 2 , Bellingham WA 98225-1759. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Provalenko, Bridget Lea can be contacted via phone (360) 752-1575.Contact Information
Primary practice address
805 W Orchard Dr Ste 2
Bellingham WA 98225-1759
Phone: (360) 752-1575
Fax: (360) 756-0691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1053568691 |
|---|---|
| LBN Legal business name | Provalenko, Bridget Lea |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Aug 26th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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